Etiology and prognostic evaluation of ventriculoperitoneal shunt infections

In this study, Dicle University, Faculty of Medicine, Child Health and Diseases Infection Clinic January 2010-January 2012 due to the shunt infection and treated according to the patient's age and sex distributions, 30, hydrocephalus etiological factors, physical examination and laboratory findings, CSF reproducing microorganisms and antibiotic susceptibilities, applied in methods of treatment, hospitalization periods and factors affecting the amount of time it was evaluated retrospectively. Hydrocephalus etiological causes include congenital malformations (76,7%) meningomyeloselin-dominated first place. It's time for the first two months developing infections in patients with shunt inserted 66.6%, 3-4. Months 13.3%, 5-12. as has been identified between 20% a month. The clinical symptoms and signs of patients with the most common hits fire (96.7%), vomiting (80%), irritability (30%), growth of the head around (86.7%), and skin infection (53.3%). CSF culture results examined 30 patients on the 11th (36%) are Staphylococcus is 7 patients, Staf. epidermidis (23%), for the reproduction of other Staphylococci strains is respectively a case, Staf. lentus (3.3%), a case, Staf. gallinarum (3.3%), a case, Staf. aureus (3.3%) cases, the Staf. saprophyticus (3.3%) cultures yielding. The remaining non-reproduction in 4 patients of Staphylococcus, Klebsiella pneumonia (3.3%), in a patient with Pseudomonas aeruginoza (3.3%), in a patient with Acinetobacter baumannii (3.3%), in a patient with E. coli (3.3%) cultures yielding. Treatment results analysis of CSF culture is the most effective antibiotics in patients with gram positive microorganism breeding Teikoplanin, Linezolid and Vancomycin. CSF culture is most effective in patients with gram negative microorganisms breeding ground after antibiotics Meropenem and Amikacin. Cases hospitalization periods evaluated; 13 patient 4 for more than a week, less than four weeks duration of hospitalization of the patient's 17. Factors affecting the amount of time that the duration of hospitalization, clinical and laboratory findings made between statistical evaluations meaningful. A patient has been treated for Exitus. Shunt infections, complications and mortality was high a disease group. In these patients, early diagnosis and management of appropriate antibiotic therapy for prognosis and prevention of the germ are important to you.